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From the 7/23/2021 release of VAERS data:

This is VAERS ID 1330974



Case Details

VAERS ID: 1330974 (history)  
Form: Version 2.0  
Age: 14.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-05-19
Onset:2021-05-19
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0183 / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Computerised tomogram thorax, Dizziness, Hyperhidrosis, Pallor, Vision blurred
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Pulse 97 Respirations 14 SPO2 98% BP 98/70 Exam: Alert, oriented to person place and time. Lungs - CTA, CV - RRR Vital post incident HR 76 BP 102/70
CDC Split Type:

Write-up: Dizziness, sweaty, blurred vision approx 2 mins after getting vaccine. Brought over to medical. Patient was alert, pale and diaphoretic. Patient was given water, crackers, alert and talkative, feeling much better. Patient sent home Past Medical Hx Had presyncope episodes with vaccine/blood draws in the past No recent illness and ate today


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1330974


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